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Organization
TIDEWATER DENTAL STUDIO PLLC
Active
Organization
TIDEWATER DENTAL STUDIO PLLC
Active
Other names
Tidewater Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA MARIE S. ACOSTA-SASSOON DDS (OWNER)
(757) 499-8139
Entity
Organization
Contact information
Practice address
4867 BAXTER RD STE 101, VIRGINIA BEACH, VA 23462-4469
(757) 499-8139
(757) 473-8816
Mailing address
4867 BAXTER RD STE 101, VIRGINIA BEACH, VA 23462-4469
(757) 499-8139
(757) 473-8816
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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